Multistate nursing license update in PA

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  • Home Health Columnist / Guide
    Specializes in Vents, Telemetry, Home Care, Home infusion.

From PA Dept. of State  8/22/23 email:


The Department of State is pleased to announce that Pennsylvania will take a big step by partially implementing the interstate Nurse Licensure Compact, an agreement among 41 states and U.S. territories and administered by National Council for State Boards of Nursing, that recognizes the practicing privileges for nurses licensed under the compact.

Starting Sept. 5, 2023, registered nurses (RNs) and licensed practical nurses (LPNs) who hold multistate licenses through the compact will be permitted to practice in the commonwealth without obtaining a Pennsylvania license. This step should help ease Pennsylvania's severe nursing shortage, alleviate burdens on overworked nursing staffs, make conditions safer for both patients and healthcare workers, and increase patients' access to in-person and telehealth care. 

A November 2022 industry survey by The Hospital and Healthsystem Association of Pennsylvania showed vacancy rates of 30% for RNs providing direct care, and it cited a U.S. Health Resources and Services Administration report projecting that, by 2030, demand for LPNs in Pennsylvania will exceed the number of available workers by 27.8%.  

The Department of State continues to work diligently with its state and federal partners to satisfy the preconditions necessary to allow the State Board of Nursing to issue multistate licenses to Pennsylvania nurses who want to be able to practice in compact member states.

 Among the preconditions we must meet is being able to certify to other compact states that Pennsylvania's State Board of Nursing has performed an FBI criminal background check on Pennsylvania applicants, a process that requires FBI authorization. The Department of State is actively seeking this authorization and is awaiting a response. 

Meanwhile, we are ensuring that Pennsylvania meets other technical and regulatory requirements so that the commonwealth can fully implement the compact as quickly as possible once we receive FBI and statutory approval to access the FBI's criminal background database. 

We will keep you informed of our progress in achieving this crucial second step toward full implementation of the compact. 

For answers to frequently asked questions about how the compact affects in-state and out-of-state nurses, as well as Pennsylvania patients, visit the State Board of Nursing's webpage.  

To learn more about the compact, visit or email [email protected].   

As always, thank you for the vital work you do caring for your fellow Pennsylvanians


Department of State

Follow PA BON  Nurse Licensure Compact section for further details. 

Plan to apply for multistate next PA license renewal due 4/30/2024.  Gotta get working on finishing CEU requirements.

Home Health Columnist / Guide


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Specializes in Vents, Telemetry, Home Care, Home infusion.

Pennsylvania nurses have petitioned BON and our legislators FOR YEARS to get PA BON to join the compact.  Lots of hard work to get this achieved.

Philadelphia Inquirer 8/22/202i3

Shapiro administration to allow nurses from more than 30 states to practice in PA


...“We are expanding opportunities for patients and providing hospitals and health systems with access to an approved, vetted group of licensed RNs and LPNs,” Pennsylvania Secretary of State Al Schmidt said in a statement.

...While nurses from other compact states will be able to work in Pennsylvania starting this fall, local nurses will not be able to work in other states, said Kalonji Johnson, deputy Secretary of State for regulatory programs. The state's board of nursing needs to gain access to an FBI database to run criminal background checks before it can issue multistate licenses. There is no timeline for that process, he said....

Nurse staffing minimums

In June, the state House of Representatives approved the Patient Safety Act, advancing in Pennsylvania staffing-level requirements for nurses in hospitals. Only a few states, including California and Oregon, have enacted similar laws. The bill has yet to advance in the state Senate, where its fate remains uncertain.

Nurses unions have been advocating for the legislation for years. Critics, including hospital industry groups, have argued that it is unrealistic to expect hospitals to meet these requirements when they are struggling to fill many positions....


Years ago, NJ required licencee's to obtain FBI fingerprint clearance --had to trot 30 min. to reach fingerprint center so PA will need to setup similar system here.  My prints still clean...😇

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